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急性下壁心肌梗死中心电图与梗死相关动脉间的关系 被引量：3

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摘要 目的 探讨急性下壁心肌梗死（AMI）时体表心电图对梗死相关动脉（IRA）的判断价值.方法 选择经冠状动脉造影确诊的急性下壁AMI患者98例,观察其心电图表现与冠状动脉造影的关系.结果 98例下壁AMI患者中,右冠状动脉（RCA）病变68例,左回旋支（LCX）病变30例.以RCA病变为主时,心电图表现为Ⅲ导联ST段抬高幅度〉Ⅱ导联ST段抬高幅度、aVL 导联ST段压低和aVR导联ST段抬高;以LCX病变为主时,心电图表现为Ⅲ导联ST段抬高幅度〈Ⅱ导联ST段抬高幅度、aVL 导联ST段抬高和aVR导联ST段压低.结论 临床医师可通过心电图上的ST段移位对急性下壁AMI的患者的IRA作出初步判断.
作者 巢为农 孙建辉 刘亚平
机构地区 苏州大学附属第三人民医院 常州市武进区奔牛人民医院
出处 《中国血液流变学杂志》 CAS 2010年第2期226-227,共2页 Chinese Journal of Hemorheology
关键词 急性下壁心肌梗死 心电图 右冠状动脉 左回旋支动脉
分类号 R542.22 [医药卫生—心血管疾病]
  • 相关文献

参考文献7

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同被引文献16

  • 1董超,周汉京,黄尚珍.老年急性心肌梗死87例临床分析[J].华南国防医学杂志,2003,17(2). 被引量：1
  • 2马淑,郝恒剑,秦明照,许毓申.年轻急性心肌梗死患者的临床特征[J].首都医科大学学报,2004,25(4):479-481. 被引量：2
  • 3高敬,华琦,桑城,范振兴,王彩荣.1137例急性心肌梗死患者临床表现及超声心动图特点[J].首都医科大学学报,2006,27(5):657-659. 被引量：13
  • 4蒋桔泉,丁世芳,陈志楠,付文波,龚志刚,卢青,王仁学.年轻人急性心肌梗死36例临床分析[J].华南国防医学杂志,2007,21(1):42-43. 被引量：5
  • 5Nikkus K.,Pahlm O,Wagner G,et al.Electrocardiographic classification of acute coronary syndromes:a review by a committee of the International Society for Holler and NonInvasive Electrocardiology[J].J Electrocardiol,2010,43(2):91-103.
  • 6Krishnaswamy A,Lincoff AM,Menon V.Magnitude and consequences of missing the acute infarct-related circumflex artery[J].Am Heart J,2009,158(5):706-12.
  • 7Task Force on the management of ST-segement elevation acute myocardial infarction of the European Society of Cardiology(ESC),Steg PG,James SK,Atar D,et al.ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation[J].Eur Heart J,2012,33(20):2569-619.
  • 8Chia BL,Yip JW,Tan HC,et al.Usefulness of ST elevationⅡ/Ⅲratio and ST devation in lead I for identifying the culpritartery in inferior wall acute myocardial infarction[J].Am J Cardiol,2000,86(3):341-3.
  • 9Noriega FJ,Vives-Borras M,Sole-Gonzalez E,et al.Influence of the extent of coronary atherosclerotic disease on ST-segment changes ind.ced by ST elevation myocardial infarction[J].Am J Cardiol,2014,113(5):757-764.
  • 10Kanei Y,Sharma J,Diwan R,et al.ST-segment depression in aVR as a predictor of culprit artery and infarct size in acute inferior wall ST-segment elevation myocardial infarction[J].J Electrocardiol,2010,43:132-135.

引证文献3

二级引证文献6

中国血液流变学杂志
2010年 第2期

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